“…There are some anatomical factors that have shown a predisposition to the appearance of inguinal hernias, like: persistence of the peritoneum-vaginal duct in men, or the Nuck duct in women, the increase in the dimensions of Hesselbach's triangle, the absence of the aponeurotic fibers of the transversus abdominis muscle in its lateral portion or in the entire inguinal floor [1]. Chronic increases in intra-abdominal pressure, as occurs in patients with chronic obstructive pulmonary disease (COPD), cirrhosis, prostatic hyperplasia, multiple pregnancies, are also a possible cause of hernia [1]. The presence of the bladder within the hernial sac is uncommon, with a prevalence of 0.5-5% among inguinal hernia patients [3,4,[7][8][9][10][11].…”